Mosaic Orthotics and Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MOSAIC ORTHOTICS AND PROSTHETICS LLC

Practice address

617 N 17TH St # 102
Colorado Springs, CO 80904-3577

Phone

(719) 271-5857

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Moore, CPONPI 1215424338

Title

Certified Prosthetist Orthotist

Phone

(719) 231-7893

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan P Moore

  • Orthotist
  • Colorado Springs, CO
  • NPI 1215424338
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1275140022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 MONTARBOR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N 17TH ST # 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043577",
            "telephone_number": "719-271-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC ORTHOTICS AND PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST ORTHOTIST",
        "authorized_official_telephone_number": "719-231-7893",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Morton
• Melina Morton
• Anna Morusiewicz
• Mosaic
• Mosaic Infusion Solutions LLC (MosAIC)
• Mary Moscarell
• Dale Moseley
• Cher P Moseman, MD
• Alysha Moser, PT, DPT
• Amelia Joann Moser

• Prosthetic/Orthotic Supplier in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.